HCRIS X-Ray — NORTH ALABAMA MEDICAL CENTER
CCN 010006 · 223 beds · FY2022
🛡️ Public data only — no PHI permitted on this instance.
HCRIS-Native Peer X-Ray
NORTH ALABAMA MEDICAL CENTER
17 peers · same-state + same-year · 17 pool, top 17 shown · benchmarked on 15 metrics
CCN 010006 · FY2022 · FLORENCE, AL
NORTH ALABAMA MEDICAL CENTERTREND · DETERIORATING · 3Y
Beds
223
Community
Patient Days
67,263
82.6% occupancy
Medicare Day Share
30.9%
moderate
NPR (filed)
$259.5M
$1,163K / bed
Operating Margin
0.5%
Thin
Payer Diversity
0.56
1 − HHI of day mix
Plain-English read: Biggest peer gap: Medicare day share is 30.9% vs peer median 21.1% (+46.3%, above peer P75). Strongest outperformance: Patient days at 67,263 vs median 50,857 (+32.3%).
Peer benchmark · target vs P25 / median / P75 · same-state + same-year · 17 pool, top 17 shown
Size
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Beds
licensed bed count
223
179
208
249
+7.2%
IN-BAND
Patient days
total inpatient days filed
67,263
35,493
50,857
59,148
+32.3%
ABOVE PEER
Occupancy rate
patient days ÷ bed days available
82.6%
50.0%
65.3%
77.8%
+26.5%
ABOVE PEER
Payer Mix
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Medicare day share
share of inpatient days covered by Medicare
30.9%
17.7%
21.1%
26.8%
+46.3%
BELOW PEER
Medicaid day share
share of inpatient days covered by Medicaid
12.0%
10.6%
15.7%
22.5%
-23.9%
IN-BAND
Commercial / other day share
commercial + self-pay day share (higher = better economics)
57.1%
58.9%
61.8%
65.4%
-7.5%
BELOW PEER
Payer diversity
1 − HHI of day mix; 0 = single-payer, 0.67 = balanced across 3
0.56
0.50
0.52
0.56
+8.2%
ABOVE PEER
Revenue Cycle
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
NPR per bed
net patient revenue ÷ beds
1,163,463 $
759,671 $
870,973 $
1,207,918 $
+33.6%
IN-BAND
NPR per patient day
net patient revenue ÷ total patient days
3,857 $
3,449 $
4,104 $
4,251 $
-6.0%
IN-BAND
Contractual allowance rate
contractual allowances ÷ gross patient revenue
79.8%
69.5%
81.6%
89.8%
-2.2%
IN-BAND
Net-to-gross ratio
NPR ÷ gross patient revenue (collection-rate proxy)
20.2%
10.2%
18.4%
30.5%
+9.7%
IN-BAND
Cost Structure
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Opex per bed
operating expenses ÷ beds
1,157,376 $
778,870 $
921,796 $
1,196,922 $
+25.6%
IN-BAND
Opex per patient day
operating expenses ÷ total patient days
3,837 $
3,786 $
4,173 $
4,423 $
-8.0%
IN-BAND
Margin
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Operating margin
(NPR − opex) ÷ NPR
0.5%
-9.9%
-3.6%
2.3%
+114.4%
IN-BAND
Net income margin
net income ÷ NPR
0.5%
-9.9%
-3.6%
2.3%
+114.4%
IN-BAND
How to read: Target column is the filed value from the hospital's most recent Medicare cost report. P25 / median / P75 are drawn from the 17 peer hospitals matched on size cohort, state, payer mix, and fiscal year. Variance is signed % vs peer median; green chip = better than peers on this metric; red chip = worse than peers; amber/neutral = inside the P25-P75 band.
Public market context · Seeking Alpha hospital comps
Target operating margin +0.5% trails public-comp median +14.2% by 13.7 pp. Public comps trade at a median EV/EBITDA of ~9x; target-implied multiple should adjust for the margin delta + size discount.
| Ticker | Company | Op Margin | Target Δ | EV/EBITDA |
|---|---|---|---|---|
| HCA | HCA Healthcare | +16.9% | -16.4pp | 8.9× |
| THC | Tenet Healthcare | +14.2% | -13.7pp | 8.8× |
| UHS | Universal Health Services | +11.5% | -11.0pp | 7.4× |
| ARDT | Ardent Health Partners | +7.8% | -7.3pp | 10.2× |
Public-hospital comps are curated from 10-K / analyst consensus via → Seeking Alpha Market Intel. Margin delta × $ of NPR ≈ the EBITDA gap between the target and the public bench.
Peer roster
| CCN | Hospital | State | Beds | FY | Medicare % | Op Margin | NPR ($M) | Distance | Same-state | Same-region |
|---|---|---|---|---|---|---|---|---|---|---|
| 010040 | GADSDEN REGIONAL MEDICAL CENTER | AL | 219 | 2022 | 22.7% | +2.3% | 174.6 | 0.452 | ✓ | ✓ |
| 010055 | FLOWERS HOSPITAL | AL | 193 | 2022 | 27.2% | +14.2% | 235.5 | 0.528 | ✓ | ✓ |
| 010016 | SHELBY BAPTIST MEDICAL CENTER | AL | 212 | 2022 | 22.7% | -0.9% | 161.1 | 0.652 | ✓ | ✓ |
| 010149 | BAPTIST MEDICAL CENTER EAST | AL | 208 | 2022 | 12.6% | -9.9% | 169.5 | 0.778 | ✓ | ✓ |
| 010087 | USA HEALTH UNIVERSITY HOSPITAL | AL | 242 | 2022 | 14.8% | -6.4% | 348.5 | 0.833 | ✓ | ✓ |
| 010144 | SPRINGHILL MEMORIAL HOSPITAL | AL | 179 | 2022 | 20.6% | -3.8% | 216.2 | 0.867 | ✓ | ✓ |
| 010100 | THOMAS HOSPITAL | AL | 164 | 2022 | 26.8% | +6.2% | 244.7 | 0.909 | ✓ | ✓ |
| 010114 | UAB MEDICAL WEST | AL | 204 | 2022 | 17.7% | -12.5% | 142.7 | 0.919 | ✓ | ✓ |
| 010089 | WALKER BAPTIST MEDICAL CENTER | AL | 207 | 2022 | 21.1% | +18.2% | 108.7 | 1.028 | ✓ | ✓ |
| 010046 | RIVERVIEW REGIONAL MEDICAL CENTER | AL | 256 | 2022 | 27.9% | -3.6% | 101.5 | 1.040 | ✓ | ✓ |
| 010131 | CRESTWOOD MEDICAL CENTER | AL | 164 | 2022 | 28.9% | +14.6% | 258.9 | 1.047 | ✓ | ✓ |
| 010024 | JACKSON HOSPITAL AND CLINIC INC | AL | 278 | 2022 | 20.4% | -10.4% | 301.4 | 1.057 | ✓ | ✓ |
| 010103 | PRINCETON BAPTIST MEDICAL CENTER | AL | 261 | 2022 | 17.2% | +2.3% | 216.3 | 1.079 | ✓ | ✓ |
| 010005 | MARSHALL MEDICAL CENTERS SOUTH | AL | 178 | 2022 | 26.1% | -6.3% | 186.9 | 1.099 | ✓ | ✓ |
| 010019 | HELEN KELLER HOSPITAL | AL | 178 | 2022 | 30.3% | -28.0% | 92.0 | 1.115 | ✓ | ✓ |
| 010011 | ST. VINCENTS EAST | AL | 286 | 2022 | 20.3% | -20.2% | 249.1 | 1.126 | ✓ | ✓ |
| 013301 | USA CHILDRENS AND WOMENS HOSPITAL | AL | 249 | 2022 | 0.2% | -0.3% | 228.8 | 1.770 | ✓ | ✓ |
Cross-reference · pre-seeded with HCRIS-filed NPR, operating margin + peer-median 9.0× entry cap structure
EV
$117M (9.0× $13.0M EBITDA) · Equity $49M · Debt $68M · override any of these on the destination page.JSON export — full X-Ray payload
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